Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.08 / $393.10 / $1,894.00	Facility		$146.08	$393.10	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $166.57 / $651.62	Professional		$117.40	$166.57	$651.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.35 / $421.24 / $885.83	Professional		$167.35	$421.24	$885.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.14 / $605.49 / $976.64	Facility		$518.14	$605.49	$976.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $399.55 / $656.75	Professional		$221.89	$399.55	$656.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $209.65 / $364.16	Facility		$136.50	$209.65	$364.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.51 / $263.16 / $5,261.00	Facility		$144.51	$263.16	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $419.93 / $999.28	Professional		$171.50	$419.93	$999.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $223.50 / $429.63	Professional		$95.17	$223.50	$429.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $195.24 / $364.16	Facility		$134.63	$195.24	$364.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $437.05 / $644.16	Professional		$308.13	$437.05	$644.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $632.48 / $632.48 / $632.48	Facility		$632.48	$632.48	$632.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $603.85 / $1,433.84	Professional		$208.36	$603.85	$1,433.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $729.92 / $1,055.80	Professional		$301.04	$729.92	$1,055.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $395.28 / $692.92	Professional		$171.50	$395.28	$692.92